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  • Pembangunan Gedung Kuliah H Universitas Bolaang Mongondow: Work Permit (WP)

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    reyzard
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    1. This document is a work permit for a construction project to build a lecture hall building at the Bolaang Mongondow University in Indonesia. 2. The work involves construction activities over a duration of several months, with potential hazards including working at heights, heavy equipment, fires/explosions, and ergonomic risks. 3. The permit outlines required safety controls such as hard hats, safety shoes, eye protection, harnesses, masks, signs, and a safety induction to mitigate risks and ensure the work is completed safely.

    Original Description:

    ijin sebelum memulai suatu pekerjaan konstruksi

    Original Title

    Work Permit

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    1. This document is a work permit for a construction project to build a lecture hall building at the Bolaang Mongondow University in Indonesia. 2. The work involves construction activities over a duration of several months, with potential hazards including working at heights, heavy equipment, fires/explosions, and ergonomic risks. 3. The permit outlines required safety controls such as hard hats, safety shoes, eye protection, harnesses, masks, signs, and a safety induction to mitigate risks and ensure the work is completed safely.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    37 views1 page

    Pembangunan Gedung Kuliah H Universitas Bolaang Mongondow: Work Permit (WP)

    Uploaded by

    reyzard
    1. This document is a work permit for a construction project to build a lecture hall building at the Bolaang Mongondow University in Indonesia. 2. The work involves construction activities over a duration of several months, with potential hazards including working at heights, heavy equipment, fires/explosions, and ergonomic risks. 3. The permit outlines required safety controls such as hard hats, safety shoes, eye protection, harnesses, masks, signs, and a safety induction to mitigate risks and ensure the work is completed safely.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    WORK PERMIT (WP) A-HSE-R-001.0, Rev.

    0
    SURAT IJIN KERJA
    Date :

    (PERMANENT SITE) WP No :
    1 COMPANY / DEPT REQUESTOR SUBCONT
    Perusahaan / departemen pemohon

    SUPERVISOR DELEGATION:

    Pengawasan
    Asisten Pengawas
    di lapangan
    lapangan
    didelegasikan kepada: Date :
    3 PROJECT NAME & LOCATION OF WORK PT. Rayhana Ratu Selmina
    Nama proyek & lokasi kerja

    Pembangunan Gedung Kuliah H


    Universitas Bolaang Mongondow Date : Date :
    4 DURATION OF WORK
    Durasi pekerjaan Extend Until:
    Date : s/d Date : Date : Time :
    Time : Time :
    5 DESCRIPTION OF WORK TO BE PERFORMED
    Uraian pekerjaan yang dilakukan

    6 TYPE OF WORK
    Jenis Pekerjaan q Kerja di area / ruang panas (hot work)
    q Kerja di ketinggian (High works) q Kerja di area listrik tegangan tinggi
    q Kerja di ruangan kedap (Confined space) q Kerja di area berbahaya lainnya
    q Penggalian tanah (Excavation works) kedalaman

    7 TYPE, QUANTITY OF EQUIPMENT & EMPLOYEES


    Jenis, Jumlah peralatan dan Pekerja
    q Machine : Quantity : q Jumlah Personnel :_______ person(s)
    q Equipment : Quantity : q Lihat Lampiran
    q Lihat Lampiran

    8 POTENTIAL HAZARD
    Potensi bahaya q Noise q Terjepit q Asap
    q Fire / kebakaran q Benda tajam q Terhantam benda q Dust/Debu
    q Jatuh dari Ketinggian q Beban berat q Kejatuhan benda q Virus
    q Panas q Tekanan q Vibrasi / getaran q Ergonomic
    q Tersengat Listrik q Tersandung q Gas q ___________

    9 RISK CONTROL
    Pengendalian resiko q Safety Barries/Pagar
    q Safety Helmet/Helm Keselamatan --> Mandatory q Safety Sign/Rambu-Rambu Safety
    q Safety Shoes/Sepatu Keselamatan --> Mandatory q Fire Exthinguisher/Pemadam Api
    q Eye Protection/Pelindung Mata q Portable Radio/Radio Genggam
    q Ear Protection/Pelindung Telinga q Cover/Penutup
    q Body Harness / Safety Belt q Cable detector / metal detector
    q Mask/Masker q Certificate/Surat ijin Operator
    q Gloves/Sarung Tangan q Sertifikat Layak Pakai Peralatan
    q Faceshield/Pelindung wajah q HSE induction / training
    q Scaffolding/Perancah q Others/Lain-lain
    q Tangga/Ladder

    10 EHS DEPARTMENT COMMENTS 11 CANCELLATION OF PERMIT


    Catatan dari HSE Dept Pembatalan ijin

    Name: Date:
    12 THE WORK HAS BEEN COMPLETED AND THE LOCATION HAS BEEN LEFT CLEAN AND SAFE
    Pekerjaan telah selesai, lokasi ditinggalkan dalam keadaan bersih dan aman
    Date: Note: Original at Work site
    Copy 1 at Workplace Mgr
    Copy 2 at GA Manager
    Copy 3 at HSE Co. / Officer
    WORKPLACE MGR. / GA MGR

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